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OC SAFETY INC. - 2013
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OC SAFETY INC. - 2013
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Last modified
7/17/2013 2:11:33 PM
Creation date
1/8/2013 2:38:49 PM
Metadata
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Template:
Contracts
Company Name
OC SAFETY INC.
Contract #
N-2013-001
Agency
Personnel Services
Expiration Date
12/31/2013
Insurance Exp Date
4/2/2014
Destruction Year
2018
Document Relationships
OC SAFETY INC. 1A - 2014
(Amended By)
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AcH CER TIFICATE OF LIABILITY INSURANCE 0 <br />0 <br />3 <br /> 0 <br />4/10/2 <br />1 <br />04/10/2013 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS ATTE OF INFORMATION <br />Ric Weissinger Insura ce Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Ric Weissinger, Agent Lic <br />J1 OC6916L, HOLDER. THIS CERTIFICATE DOES NOT A MEND, EXTEND OR <br />5922 Warner Ave, Hunti y <br />ng tah` Ssgch" G 9'2-b4 y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br /> <br /> . i INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />O C SAFETY INC _ INSURERA State Farm GeneYal Insuranc Cofran 25151 <br /> -- <br />1940 N TUSTIN ST STE 03 INSURER B: <br />ORANGE CA 92865-46 2 INSURER C: <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER IOD INDIC ATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI S CERTIF CAPE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCL USIONS A ND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS HO_WN MAY HAVE SEEN REDUCED BY PAID CLAIMS, <br />INSR ADM POLICY EFFECTIVE POLICY EXPIRATION <br />LTR INSRD TYPEOFINSURAN POLICYNUMBER DATE MBMIDDfYY) DATE MNDIDnY LIMITS <br />x r, GENERAL LIABILIN 92-CD-K091-4 G 04-02-2013 04-02-2014 EACHO CURRENCE $ 1,000,000 <br /> MMERCIAL GEN <br />E <br />LIABILITY <br />PREMISE <br />Ea OC <br />nca <br />$ 100,000 <br /> CIAIMS MADE OCCUR MED EYP An ona $ 5,000 <br /> T PERSON L$AOV IN URY $ 1,000,000 <br /> <br /> GENERA AGGREGA E $ 2,000,000 <br /> <br />GREGALMT <br />GIN <br />PER. <br />PRCOUC <br />-COMP <br />AGG <br />s 2,000,000 <br /> X PRO <br />ICY JECT X L( <br /> AUT OMOBILE LIABILITY COMBINE SINGLE L MIT <br /> (Ea acrid M) $ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY It JURY <br /> <br />SCHEDULED AUTOS <br />(Pwpe <br />) $ <br /> HIREDAUI'OS BODILY If JURY <br />$ <br /> NON-0WNED AUTOS <br />(Per acrid <br />n1) <br /> _ PROPER DAMAGE <br /> $ <br /> (Per acrid nf) <br /> GARAGEUABIIJTY AUTOON Y-EAAC IDENT $ <br /> ANY AUTO OTHER? AN ACC $ <br /> AUTO ON ,Y: -' <br /> AGG $ <br /> EXCESSIUMBRELLA LIABIL EACH OC CURRENCE $ <br /> I <br />OCCUR F? CL R <br /> A S MADE <br />-` AGGREGA TE $ <br /> r <br />.?g'fy ?'?? / <br />f 8 <br /> DEDUCTIBLE <br />7 <br />w ,w <br /> <br />- <br /> RETENTION ??-- <br /> WORKERS COMPENSATION AND <br />" ? <br />1? <br />IA <br />- WC TATU- OTH- <br /> EMPLOYERTLIABILI7Y ._••" <br />1,V' <br />= <br />pe '?y <br />' TOR LIMITS ER <br /> ANY PROPRIBTURIPARTNERIEXEC TIVE `. ?^ <br />\;. J1 <br />?4 E.L. EACH ACCIDENT $ <br /> OFFICEIVUEMBER EXCLUDED? p,=,.3 <br /> yes <br />demdba under <br />ELDISEA <br />E-EAEM <br />LOYEE <br />$ <br /> , <br />SPECIAL E. L. DISE E-POLIO LIMIT $ <br />X OTHER <br /> Business Property 92-CD-KO91-4 G 04-02-2013 04-02-2014 $ 45, 00 <br />DESCRIPTION OF OPERATIONS I LOCH IONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Lon #1 - 1940 N TUSTIN ST STE 103, ORANGE, CA 92865 <br />CERTIFICTE HOLDER, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL IN URED I REGARDS <br />TO GENERAL LIABILITY P R ATTACHED FE6609 <br />CER I i Fi CA e c HOLDER (;ANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIE S BE CANE ED BEFORE THE ExPIRA'nCN <br />CITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WILL N05AVOR O MAIL ..AO DAYS WRITTEN <br />ATTN: PURCHASING DEPAR'T'MENT NOTICE TOTHE CERTIFICATE HOLDER NAMED? THE LEFT OUT FAILURE TO DO SO SHALL <br />20 CIVIC CENTER PLAZA IMPOSE NO IGA,TION OR LIABILITY (INo UPON THE INSURER, ITS AGENTS OR <br />SANTA ANA, CA 92701 q <br />REPR TATIV S. I If <br />' <br />c <br /> RUTH RIZED R R NT V <br /> r ger, Agent <br />e registration no Ices indicate ownersIp of t e ma s y weir respective owners (9) RPORATION 1988,2007 <br />132845 03.13.2007 All rights resemod
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